Organization
BROOKHAVEN CARDIAC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SOMA PULIPATI MD (MD)
(631) 654-2386
Entity
Organization
Contact information
Practice address
475 E MAIN ST, SUITE 205, PATCHOGUE, NY 11772-3121
(631) 654-2386
(631) 447-3852
Mailing address
475 E MAIN ST, SUITE 205, PATCHOGUE, NY 11772-3121
(631) 654-2386
(631) 447-3852
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
11/02/2006
Last updated
11/04/2016
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